Service Agreement

Please complete by typing in your information and clicking on 'Print Agreement' or by printing the form and filling it in by hand.
Fax to : 01394 421 140
GAH Contact:
Date:
Invoice Name:
   
Invoice Address:
  
Postal Code:
   
Contact name:
Telephone number:
Please see the Platinum Shield, Gold Shield, Silver Shield and Silver Shield 'Pay as you go' information on this site and tick below the service cover you require.
Silver Shield 'Pay as you go' @£ per service   
Silver Shield @£ per month
Gold Shield @£ per month or @£ for a one off payment
Platinum Shield @£ per month or @£ for a one off payment
Gold/Platinum terms are for 3 years. (4th and 5th P.O.A.)
Contract Start Date:
Termination Date:
  
Unit Serial Number:
Date in Service:
Vehicle Registration No:
Unit Model:
Vehicle Make:
Vehicle Model:
We would like to pay by the following method (Please tick relevant box)
Pay by Cheque/Cash (Please delete not applicable) on completion of Service visit (Silver Service/Maintenance only)
Pay on Account (Account no: already open with GAH Ltd)
Pay by standing order
Address / vehicle location:
  
Postal Code:
   
Contact Name:
Telephone number:
Signed:
 ..................................
Position:
Name (Block capitals please)
Date:
Special Instructions
   
Please return this form to:
GAH (Refrigeration) Ltd., FREEPOST 1H 4158, Building 846, Bentwaters Parks, Rendlesham, Woodbridge, Suffolk IP12 2TW
Fax to : 01394 421151
GAH (Refrigeration) Ltd Use Only
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